Routine inspection·February 15, 2024

On 2/15/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Maricel Querol/ House Manager. LPA explained the purpose of today’s visit. Facility is licensed for (6) non-ambulatory residents and (1) bedridden resident. The facility has an approved hospice waiver for (4) residents. The facility consists of (4) resident bedrooms, (3) bathrooms, living room, dining room, kitchen. LPA Iniguez toured the physical plant with house manager. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected the carbon monoxide detectors combo were in operable condition. The water temperature properly measured between: 105°F-120°F: Kitchen 111.1°F, Bathroom #1:110.7°F and Bathroom #2:113.7°F. Evaluation Report Continues LIC 809-C LPA Iniguez observed the facility to be clean, sanitary, and appropriately furnished at the time of the visit. Storage areas for personal hygiene were observed. Sharps objects and cleaning agents were locked and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available at the property. All fire extinguishers were charged and were operable. A review of (3) residents' service files, (3) staff personnel files were reviewed. LPA checked (3) Medication Administration Records (MAR) and no discrepancies were found. The first AID kit was checked. Last facility disaster drill was: 12/7/2023. LPA observed the facility's infection control practices. A copy of the liability insurance will be email to LPA. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -No updated LIC 602A for R#1 and R#3 on file. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Maricel Querol /House Manager.